Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
470
Total Claims
$11K
Drug Cost
95
Beneficiaries
$114
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+588%
Opioid rate vs peers
63.2% vs 9.2% avg
-84%
Cost per patient vs peers
$114 vs $719 avg
-17%
Brand preference vs peers
5.5% vs 6.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 588% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
63.2%
Opioid Rate
297
Opioid Claims
$4,633
Opioid Cost
11.4%
Long-Acting Rate
This provider's opioid prescribing rate of 63.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 26 claims · $1,313
Generic: 444 claims · $9,499
Patient Profile
72
Avg Age
45%
Female
3.00
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About